Individual
BECKY FOWKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1227 E 32ND ST STE 5, JOPLIN, MO 64804-2904
(417) 623-7907
(417) 623-7907
Mailing address
1227 E 32ND ST STE 5, JOPLIN, MO 64804-2904
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044916
MO
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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